5 WHY FORM

Internal problem External problem

8D-ref. Team

Date Cust. (ext./ int.) Other

General instruction

Problem Description

Reason for Problem

1. Why did it fail? Action

2. Why? (item 1) Action

3. Why? (item 2) Action

4. Why? (item 3) Action

5. Why? (item 4) Action

5 WHY FORM
Internal problem ✘ External problem

8D-ref. Team
Dave, Sal, Alex, Brian, Vic, Aldo, Kathy
Date Cust. (ext./ int.) Other
10/18/19

General instruction
The input for the Root cause analysis is the Problem description. By repeatedly asking the question "Why" (five is a good rule of thumb), you
can peel away the layers of symptoms which can lead to the root cause of a problem. Actions may be applicable at different levels of the root
cause. Action at root cause must be identified to prevent reoccurrence. 5 why may lead to several root causes - to be tested in the test matrix
enclosed. 5 why is favorable on adminstrative problems.

Problem Description
Customer found parts with no slot
Reason for Problem
1. Why did it fail? Action
Saw broke during normal operations. Bad parts detected during normal work
procedures. Supervisor was notified to repair
the machine.

2. Why? (item 1) Action

Supervisor identified during the repair the saw had hit the tap Supervisor repaired the tap on the machine
causing damage to saw. Both the tap and saw needed repair and prior to repairing the saw
adjustment to the machine was made to insure proper clearance.

3. Why? (item 2) Action

The order of operations require the tap to be set prior to the saw. Supervisor then ran parts in normal working
The supervisor then checked the threads to insure the machine pans of parts
was working properly without the saw being used.

4. Why? (item 3) Action

Supervisor repaired the saw attachment and checked his work to Supervisor notified the operator the machine
insure the parts where running to the specification. The parts was repaired and was ok to run without
where placed in the same pan. containing his work from the operator.

5. Why? (item 4) Action

Parrts continued to run per control plan. Procedure change for the entire shop floor has
been initiated to contain bad work and work
during the machine maintenance. See
attachment for change.